Rachel Shanks, M.ED.L., LAT, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

A00709 Issued in MD

Practice address

911 Crystal Spring Farm Rd
Annapolis, MD 21403-1001

Phone

(484) 252-6076

NPI assigned

Jun 8, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1639528839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CRYSTAL SPRING FARM RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031001",
            "telephone_number": "484-252-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CRYSTAL SPRING FARM RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031001",
            "telephone_number": "484-252-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "M.ED.L., LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MD",
            "license": "A00709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monique Couteau Shapiro, LCSW-C
• Rita B Shapiro, PHYSICAL THERAPIST
• Evelyn Shapter, PA-C
• Mohammed Zeeshanulla Shariff, MD

• Sports Medicine (Emergency Medicine) Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Sports Medicine (Emergency Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.